KINH NGHIỆM ĐIỀU TRỊ
SỐT XUẤT HUYẾT DENGUE NẶNG
Ở TRẺ EM
PGS. TS. PHẠM VĂN QUANG
BV. NHI ĐỒNG 1
Thầy thuốc tận tâm
Chăm mầm đất nước
NỘI DUNG
•ĐẶT VẤN ĐỀ
•KINH NGHIỆM CHẨN ĐOÁN & ĐIỀU TRỊ
•KẾT LUẬN
Thầy thuốc tận tâm
Chăm mầm đất nước
ĐẶT VẤN ĐỀ
•SXHD: 25.000 ca tử vong / năm (TCYTTG)
0.06
1.3
0
0.5
1
1.5
2
2.5
3
Chết/mắc (%) Chết/nặng (%)
Tỉ lệ (%)
Tỉ lệ chết/mắc và chết/nặng do SXH tại khu vực phía Nam từ năm
1998 đến 10/2016
1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
SXHD ?
SXHD CẢNH BÁO
SOÁC SXHD NẶNG
SỐC SXHD KÉO DÀI,
TT. CÔ QUAN/MODS
TÖÛ VONG
Ph hieän sôùm
ñuùng PĐ
TD saùt
*XN: ABGs
Ion đồ, ĐH
ĐMTB
CN. gan, thận
Xquang
* Tiếp HS sốc,
điều trị BC
PICU
CVVH
SOÁC SXHD
Rút kinh
nghiệm
ĐẶT VẤN ĐỀ
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